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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 153801769
Report Date: 08/01/2022
Date Signed: 08/01/2022 02:20:20 PM


Document Has Been Signed on 08/01/2022 02:20 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
FRESNO SOUTH CC, 1310 E. SHAW AVE,
FRESNO, CA 93710



FACILITY NAME:MAOF CHILD CARE CENTER PRESCHOOLFACILITY NUMBER:
153801769
ADMINISTRATOR:BENITEZ, CARLAFACILITY TYPE:
850
ADDRESS:715 E. CALIFORNIA AVENUETELEPHONE:
(661) 328-6921
CITY:BAKERSFIELDSTATE: CAZIP CODE:
93307
CAPACITY:72CENSUS: 20DATE:
08/01/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
01:30 PM
MET WITH:Jenny Flores, TeacherTIME COMPLETED:
02:30 PM
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On 08/01/2022, Licensing Program Analyst Pete Espinoza (LPA) conducted a case management visit regarding installation of new playground structure. LPA met with Jenny Flores, Teacher. LPA observed, newly installed age-appropriate play structure in outside lay area. LPA observed sticker indicating structure is appropriate for preschool children ages 2-5 years. Staff provided copy of structure site plan indicating "structure is designed for children ages 2-5 year olds". Facility is using pour-in-place rubber matt to cushion fall zones. LPA observed newly installed artificial grass installed outside of Classroom

Per Chapter 3, Division 12, Title 22 of the California Code of Regulations no deficiencies are observed today.
Site Visit Notice posted on the parent board. Exit interview was conducted with Amanda Flores, Director.

LIC 9213 NOTICE OF SITE VISIT FORM IS REQUIRED TO BE POSTED FOR 30 DAYS.

SUPERVISOR'S NAME: Duane MatsubaraTELEPHONE: (559) 650-7855
LICENSING EVALUATOR NAME: Peter EspinozaTELEPHONE: (661) 644-8231
LICENSING EVALUATOR SIGNATURE:
DATE: 08/01/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/01/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
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